Senior Integrated Absence Specialist

TRISTAR Insurance Group

Set up and administer Leave of Absence and related claims at TRISTAR ICS. Collaborating with clients and ensuring compliance with federal and statutory regulations.

Posted 7/7/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $66,000 - $71,000 per yearWebsite

About the role

Key responsibilities & impact

Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability and Long-Term Disability Claims in accordance with TRISTAR ICS protocols
Can operate efficiently with minimum need for active supervision
Exercises good judgment about when to ask for supervisory intervention or otherwise surface issues
Can back up/fill in for the supervisor on many administrative tasks
Acts as a mentor/trainer for other staff and is a technical resource
Manages, tracks, and determines eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i.e. FMLA, CFRA, PDL, PLOA)
Acts as a resource to clients and staff regarding the requirements and regulations of the above-mentioned leaves with company benefits and internal leave policies
Follow established procedures and policies to administer disability/PFL claims in a timely and efficient manner
Coordinate coverage and administration of insured programs with the appropriate carrier
Establish and maintains rapport with clients and their employees to ensure customer service goals are met
Maintain and administer appropriate check cycle payments and procedures
Coordinate return to work efforts with claimant, provider, and client
Answer all telephone claim calls from claimants, clients and carriers within 24 hours
Provide highest quality of customer service
Follow attendance policy: consistency in work schedule and punctuality
All other duties as assigned

Requirements

What you’ll need

High school diploma or GED (minimum)
One (1) year experience in administrative office environment (preferred)
5+ year prior Leave of Absence and/or related disability experience
Must be organized and possess the ability to document files accurately
Must have a thorough understanding of Federal and Statutory regulations regarding FMLA, CFRA, and PDL
Ability to comprehend and integrate the above programs with VDI, STD, and VDI benefits
Computer proficient in Word, Excel, and Web applications
Ability to effectively communicate, both verbally and in writing, with employees, supervisors, and external providers using tact and diplomacy when expanding decisions
Ability to educate and counsel on sensitive and complex issues
Good planning and organization skills to multitask in a high volume and fast paced work environment
Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Benefits

Comp & perks

Medical, Dental & Vision Insurance
Life & Disability Insurance
401(k) plan
Paid holidays
Paid time off
Referral bonus

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Leave Of Absence AdministrationDisability Claims ProcessingFederal Regulations UnderstandingStatutory Regulations KnowledgeDocument ManagementProblem SolvingMultitaskingTechnical ResourceEligibility DeterminationCheck Cycle Payments

Soft Skills

Effective CommunicationMentoringJudgmentTact and DiplomacyPlanning